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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 839376, 5 pages
http://dx.doi.org/10.1155/2015/839376
Case Report

Management of Membranous Glomerulonephritis in Pregnancy: A Multidisciplinary Challenge

Richmond University Medical Center, Department of Obstetrics and Gynecology, 355 Bard Avenue, Staten Island, NY 10301, USA

Received 26 September 2015; Accepted 3 December 2015

Academic Editor: Michael Geary

Copyright © 2015 Sherifat Ope-Adenuga et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of 28-year-old female, who had a past obstetrical history complicated by uncontrolled blood pressure, early onset preeclampsia, and a fetal demise at 29 weeks. Her blood pressure normalized after each pregnancy, and no diagnosis of renal disease was ever established. In her most recent pregnancy, she remained normotensive and initially presented with normal blood urea nitrogen and creatinine levels. However, after the early first trimester, she developed nephrotic range proteinuria, hypoalbuminemia, and peripheral edema. After delivery of the baby, all clinical symptoms rapidly resolved and laboratory values normalized. We review the clinical course, diagnosis, and management of new onset nephrotic syndrome in pregnancy.